New Medicaid Policy: 15-Day Readmission Review
8/19/2026
Dear Provider,
Thank you for your continued partnership with Meridian. As you know, we continually review and update our payment and utilization policies to ensure that they are designed to comply with industry standards while delivering the best patient experience to our members. We are writing today to inform you of new policies Meridian will be implementing effective on or after 09/30/2026.
Policy Number | Policy Name | Policy Description | Lines of Business |
|---|---|---|---|
MI.CP.MP.505 | 15-Day Readmission Review | The Meridian Preventable Readmission Review Program is a component of the Centers for Medicare & Medicaid Services (CMS) and State Medicaid guidelines. A readmission is defined as a subsequent inpatient readmission within 15 days after discharge, or as specified by state regulations or provider contracts, that is clinically related to the initial admission and is determined to be a Potential Preventable Readmission. | Medicaid |
For detailed information about these policies, please refer to our Clinical & Payment Policy page. For questions about this or any of our payment policies, please don’t hesitate to reach out via the Provider Relations Contact Form.